在怀孕期间和之后危及视力的糖尿病视网膜病变 - 全国匹配队列研究
Janni E Larsson1, Lonny Stokholm2,3, Toke Bek4
1Department of Ophthalmology, Zealand University Hospital Roskilde, Roskilde, Denmark.
Diabetes care
|August 26, 2025
概括
与非孕妇相比,患有1型糖尿病的孕妇患有视力威胁性糖尿病视网膜病变 (DR) 的风险与非孕妇相似. 这项研究没有发现怀孕期间或怀孕后发生增殖性DR的风险增加.
科学领域:
- 眼科 眼科
- 内分泌学
- 生殖医学
背景情况:
- 糖尿病视网膜病变 (DR) 是导致失明的主要原因.
- 怀孕可能会影响糖尿病并发症的进展,包括RD.
- 在怀孕期间和之后,需要仔细评估视力威胁的DR风险.
研究的目的:
- 为了比较1型糖尿病孕妇与非孕妇对照群的视力威胁性糖尿病视网膜病变 (DR) 治疗风险.
- 在怀孕期间和怀孕后评估泛视网膜光凝的发生率,以及糖尿病黄斑瘤 (DME) 的抗VEGF注射.
主要方法:
- 使用丹麦国家注册表 (2013-2022年) 进行匹配的队列研究.
- 包括1,041名孕妇和1,041名1型糖尿病的非孕妇.
- 从怀孕前36个月到怀孕后36个月的数据分析.
主要成果:
- 在孕妇和非孕妇群体之间,增殖性DR治疗率没有显著差异.
- 在孕妇中,进展到增殖性DR并没有更高 (aHR为0.64 [95% CI为0.32,1.31]).
- 在这两组患者中,糖尿病黄斑的治疗是罕见的.
结论:
- 患有1型糖尿病的孕妇不面临需要治疗的视力威胁性DR的风险增加.
- 患有1型糖尿病的孕妇和配对的非孕妇患有视力威胁性糖尿病的风险相似.
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